MCF-21897-36581

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 2 call cases

Sex: —
Age at first dose: 46-50
ZIP prefix: 325 / FL
Registered: 2021-04-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-06
Dose 1 — Moderna
2021-04-13
Registered in v-safe
2021-04-13
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Diarrhoea, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe gastrointestinal distress: I have had waves of overwhelming nausea paired with diarrhea. I can hardly eat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-04
Survey response — day 28, dose 1
MedDRA: Dysmenorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe period pain, worse than I have had in years!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Dose 2 — Moderna
2021-05-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dysmenorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Menstrual cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus, Pruritus, Rash pruritic — Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Itchy bumps on my face and arm around injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 21, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My period is significantly heavier and more painful than it has been in a long time, and thats saying something because I have endometriosis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My psoriatic arthritis, angyklosing spondylitis, and rosacea have been significantly worsening since I was vaccinated. I am in full blown flare up mode now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Emergency care, Syncope — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Syncope requiring ER visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-10
Call X — Left Voicemail
2021-11-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-09
Survey response — 12 months, dose 2
MedDRA: Syncope — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Unexplained Syncope

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-05-10
Call 1 — Could Not Reach Participant
2022-05-13
Call 1 — Requested Callback
2022-05-13
Call 2 — Requested Callback
2022-05-17
Call 2 — Could Not Reach Participant
2022-05-17
Call 3 — Could Not Reach Participant
2022-05-20
Call 3 — Could Not Reach Participant
2022-05-20
Call X — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-07	Moderna

Call center

2 call center cases

2 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Severe gastrointestinal distress: I have had waves of overwhelming nausea paired with diarrhea. I can hardly eat.

Release 8 — day 28, dose 1

2021-05-04

Symptoms: Severe period pain, worse than I have had in years!

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Menstrual cramps

2021-05-11

Systemic reaction (other): Itchy bumps on my face and arm around injection site

Release 8 — day 21, dose 2

2021-05-28

Symptoms: My period is significantly heavier and more painful than it has been in a long time, and thats saying something because I have endometriosis.

Release 9 — day 35, dose 2

2021-06-11

Symptoms: My psoriatic arthritis, angyklosing spondylitis, and rosacea have been significantly worsening since I was vaccinated. I am in full blown flare up mode now.

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Syncope requiring ER visit

Release 11 — 12 months, dose 2

2022-05-09

Symptoms: Unexplained Syncope

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Abdominal discomfort	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Emergency care	✓	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Syncope	✓	·	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release